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General NPI Number Information
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NPI Number | 1093481426
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Entity Type | Organization
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Legal Business Name | LIFE & FAMILY GUIDANCE
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Dates
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Enumeration Date | 08/17/2021
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 269 CLAFLIN AVE
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City | EWING
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State | NJ
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Zip | 08638-2356
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Country | US
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Telephone | 609-429-0687
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Fax |
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Provider Business Mailing Address
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Address Line | 269 CLAFLIN AVE
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City | EWING
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State | NJ
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Zip | 08638-2356
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Country | US
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Telephone | 609-508-3865
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KATIE ONITIRI
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Credential | ED.S, LCADC, LMFT
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Telephone | 609-429-0687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101200000X
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Taxonomy Name | Drama Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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